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General NPI Number Information
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NPI Number | 1386830081
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Entity Type | Organization
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Legal Business Name | 2 HARVEST, INC.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 406 S CARROLL BLVD
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City | DENTON
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State | TX
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Zip | 76201-5929
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Country | US
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Telephone | 940-323-8840
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Fax | 940-387-6416
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Provider Business Mailing Address
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Address Line | 406 S CARROLL BLVD
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City | DENTON
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State | TX
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Zip | 76201-5929
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Country | US
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Telephone | 940-323-8840
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Fax | 940-387-6416
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Authorized Official
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Title or Position | ADMINISTRATOR/VP
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Name | MRS. STACI ALICIA SCHMIDT
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Credential | L.P.T
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Telephone | 940-323-8840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 011561
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License Number State | TX
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